Active NPI
Allan E Davis, O.D.
- Optometrist
- Garden City, NY
National Provider Identifier
1215933072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005468
- Practice address
- 1111 Franklin Ave
Garden City, NY 11530-1617 - Phone
- (516) 248-7528
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005468 | NY | Primary |
Addresses
Primary practice location
1111 Franklin Ave
Garden City, NY 11530-1617
Mailing address
932 Hillside Ave
New Hyde Park, NY 11040-2522
Phone (516) 437-2120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10451 | Other | NY | COLE MANAGED VISION PROV# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
932 Hillside Ave
New Hyde Park, NY 11040-2522
Phone (516) 437-2120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005468 | NY | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- New Hyde Park, NY
- NPI 1700201936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543708800000",
"number": "1215933072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 HILLSIDE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402522",
"telephone_number": "516-437-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 FRANKLIN AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301617",
"telephone_number": "516-248-7528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALLAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2018-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLE MANAGED VISION PROV#",
"identifier": "10451",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.